800-683-7731
Insurance Acceptance/Waiver

Please complete and return the following insurance acceptance/waiver by fax, mail or email to Palace Travel.

Sample Insurance Considerations

Palace Travel, Inc. recommends that you purchase the following travel insurance. Indicate your acceptance of the purchase of each form of insurance by checking it. Palace Travel, Inc. cannot be responsible for cancellation, emergency evacuation, accidents abroad, illness, lost baggage, or flight mishaps, and thus strongly urges that you purchase available insurance coverage.

 

Acceptance is indicated by a check mark.
If no check marks are indicated, it is considered rejected by client.

___ Trip cancellation/interruption
  Policy Name_____________________Number_____________________

___ Trip cost default protection
  Policy Name_____________________Number_____________________

___ Trip delay
  Policy Name_____________________Number_____________________

___ Sickness and medical expense
  Policy Name_____________________Number_____________________

___ Travel accident
  Policy Name_____________________Number_____________________

___ Baggage and personal effects/Lost luggage
  Policy Name_____________________Number_____________________

___ Emergency assistance
  Policy Name_____________________Number_____________________

___ Flight insurance
  Policy Name_____________________Number_____________________

___ All of the above


Signature ________________________ Date_____________

Copyright:
All materials contained within this website is the sole property of Palace Travel, Inc., and cannot be used, reproduced, copied or modified in its entirety or in part without prior consent by an authorized agent of Palace Travel, Inc.


 
Tour Request Form Hotel Request Form